Greenlands View

Updated 2 December 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by 1 inspector.

Service and service type

Greenlands View is a care home without nursing. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection a registered manager was in post.

Notice of inspection

Our first inspection visit on 12 October 2023 was unannounced. We let the provider know we would be returning to the service on 16 October 2023 to continue with the inspection.

What we did before the inspection

We reviewed the information we had received about the service since our last inspection. We gathered feedback from local authority commissioners who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all of this information to plan our inspection.

During the inspection

We spent time with all 3 people and observed the care and support they received in communal areas. We spoke with 7 members of staff including 2 team leaders, 2 support workers, registered manager, new incoming manager and the provider representative.

We reviewed a range of records which included 3 people's care records and their medication records. We reviewed the recruitment records for 2 staff members to make sure they had been recruited safely and we looked at a range of checks the management team completed to assure themselves people received a safe, good quality service. After our visit to the service we spoke with 2 relatives and 3 professionals involved with people who used the service, and we continued to look at procedures, care records and staff training records.

Updated 2 December 2023

About the service

Greenlands View is a residential care home providing accommodation and personal care for up to 9 people. The service provides support to people with learning disabilities and autistic people.

Greenlands View is a residential detached bungalow with some adaptions. At the time of our inspection there were 3 people using the service.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

People’s experience of using this service and what we found

The provider was working within the principles and values of Right support, right care, right culture.

Right Support:

People’s care and support was personalised. The accommodation met people's needs. People's needs were assessed, risks were identified, and steps taken to keep them safe and these systems were being embedded. People were safeguarded from abuse and staff were knowledgeable about how to support people safely. People's medicines were safely managed. People's care records had improved. However, further improvements were needed so they captured how people were supported to be independent and achieve their goals and aspirations.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Right Care:

People were supported by caring and kind staff. Staff had received appropriate training, knew people well and supported people in line with their preferences. Staff worked in partnership with other agencies to promote people's health and wellbeing.

Right Culture:

The culture at the service had improved significantly since our last inspection. The registered manager promoted a positive culture and led by example. Some further embedding of the governance systems were needed so the improvements made, could be sustained and built on. There was a relaxed, friendly welcoming atmosphere. People were treated with dignity and respect. Improvements had been made to the environment and further work was planned so the environment remained safe for people.

Relatives told us they had been concerned about the many management and staff changes at the service. However, they were happy with their family members care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for the service was inadequate (published 09 February 2023). There were 3 breaches of the regulations in relation to safe care, safeguarding and good governance, the service was placed in special measures. We imposed positive conditions, and the provider was required to send us a monthly report to show what they would do, and by when, to improve.

At this inspection we found significant improvements had been made and the service is no longer in breach of the regulations. The rating has improved to requires improvement, and the service is no longer in special measures.

Why we inspected

We undertook this inspection to monitor progress on the breaches of regulations.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Greenlands View Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection program. If we receive any concerning information we may inspect sooner.